Individual
CLARA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1567 PALISADE AVE STE 2A, FORT LEE, NJ 07024-6923
(201) 568-3424
Mailing address
58 E MIDLAND AVE UNIT 205, PARAMUS, NJ 07652-2961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02815100
NJ
Other
Enumeration date
11/13/2020
Last updated
10/11/2023
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